Evidence map›Paper›PMID 34912592›Full record

ArticleOncoimmunology2021

Local tumor microbial signatures and response to checkpoint blockade in non-small cell lung cancer.

Maximilian Boesch, Florent Baty, Werner C Albrich, Lukas Flatz, Regulo Rodriguez, Sacha I Rothschild, Markus Joerger, Martin Früh, Martin H Brutsche

Abstract read
In one paragraph

Article in Oncoimmunology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 49 papers.

0numbers the graph read from it
0cells of the map it votes in
49citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

49 citing papers in PubMed.

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  19. Respiratory diseases and the gut microbiota: an updated review.Frontiers in cellular and infection microbiology · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

9 authors.

Maximilian BoeschLung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-0994-9883
Florent BatyLung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-1425-0428
Werner C AlbrichDivision of Infectious Diseases and Hospital Epidemiology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Lukas FlatzCenter for Dermatooncology, Department of Dermatology, Eberhard Karls University Tübingen, Tübingen, Germany.ORCID 0000-0001-9683-8390
Regulo RodriguezInstitute of Pathology, Cantonal Hospital St.Gallen, St.Gallen, Switzerland.
Sacha I RothschildDepartment of Medical Oncology and Comprehensive Cancer Center, University Hospital of Basel, Basel, Switzerland.ORCID 0000-0003-1304-9340
Markus JoergerDepartment of Medical Oncology and Hematology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Martin FrühDepartment of Medical Oncology and Hematology, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.
Martin H BrutscheLung Center, Cantonal Hospital St. Gallen, St. Gallen, Switzerland.ORCID 0000-0002-1612-3609

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

In cancer patients, the clinical response to checkpoint-based immunotherapy is associated with the composition and functional quality of the host microbiome. While the relevance of the gut microbiome for checkpoint immunotherapy outcome has been addressed intensively, data on the role of the local tumor microbiome are missing. Here, we set out to molecularly characterize the local non-small cell lung cancer microbiome using 16S rRNA gene amplicon sequencing of bronchoscopic tumor biopsies from patients treated with PD-1/PD-L1-targeted checkpoint inhibitors. Our analyses showed significant diversity of the tumor microbiome with high proportions of Firmicutes, Bacteroidetes and Proteobacteria. Correlations with clinical data revealed that high microbial diversity was associated with improved patient survival irrespective of radiology-based treatment response. Moreover, we found that the presence of Gammaproteobacteria correlated with low PD-L1 expression and poor response to checkpoint-based immunotherapy, translating into poor survival. Our study suggests novel microbiome-specific/derived biomarkers for checkpoint immunotherapy response prediction and prognosis in lung cancer. In a broader sense, our data draw attention to the local tumor microbial habitat as an important addition to the spatially separated microbiome of the gut compartment.

Indexed as

Carcinoma, Non-Small-Cell LungGastrointestinal MicrobiomeLung NeoplasmsHumansImmunotherapyRNA, Ribosomal, 16SRNA, Ribosomal, 16Scheckpoint inhibitionGammaproteobacteriamicrobial diversitymicrobiomeNon-small cell lung cancer

Identifiers

PMID34912592
PMCPMC8667931

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.